Get Healthscope Benefits Prior Authorization Form

The person has the right to revoke the authorization in writing at any time and a description of how they may revoke. The person's treatment, payment, enrollment or eligibility for benefits is not conditioned on whether they signed the Authorization.

Answer: A research subject may revoke his/her Authorization at any time. The revocation must be in writing. An oral discussion between the subject and member of the research team does not revoke a HIPAA authorization.

Call and write the company. Tell the company that you are taking away your permission for the company to take automatic payments out of your bank account. This is called “revoking authorization.” If you decide to call, be sure to send the letter after you call and keep a copy for your records.

Call and write the company. Tell the company that you are taking away your permission for the company to take automatic payments out of your bank account. This is called “revoking authorization.” If you decide to call, be sure to send the letter after you call and keep a copy for your records.

A research subject may revoke his/her Authorization at any time. However, a covered entity may continue to use and disclose PHI that was obtained before the individual revoked Authorization to the extent that the entity has taken action in reliance on the Authorization.

All clients have the opportunity to choose whether or not they want to share their data with other agencies in the community. They do that by completing a Release of Information (ROI) for Data Sharing. Some clients who initially choose to share their data may change their minds later, and choose to revoke their ROI.

The Privacy Rule gives individuals the right to revoke, at any time, an Authorization they have given. The revocation, however, cannot be accepted verbally, but must be in writing. In addition, the written revocation is not effective until the covered entity receives it.

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) provides an individual the right to revoke a previous authorization to disclose protected health information at any time.